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History of Abuse and Risky Sex among Substance Users: The Role of Rejection Sensitivity and the Need to Belong

机译：物质使用者中滥用和危险性行为的历史：拒绝敏感性的作用和归属感

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This study investigates abuse and rejection sensitivity as important correlates of risky sexual behavior in the context of substance use. Victims of abuse may experience heightened sensitivity to acute social rejection and consequently engage in risky sexual behavior in an attempt to restore belonging. Data were collected from 258 patients at a substance use treatment facility in Washington, D.C. Participants' history of abuse and risky sexual behavior were assessed via self-report. To test the mediating role of rejection sensitivity, participants completed a social rejection task (Cyberball) and responded to a questionnaire assessing their reaction to the rejection experience. General risk-taking propensity was assessed using a computerized lab measure. Abuse was associated with increased rejection sensitivity (B = .124, SE = .040, p = .002), which was in turn associated with increased risky sex (B = .06, SE = .028, p = .03) (indirect effect = .0075, SE = .0043; 95% CI [.0006, 0.0178]), but not with other indices of risk-taking. These findings suggest that rejection sensitivity may be an important mechanism underlying the relationship between abuse and risky sexual behavior among substance users. These effects do not extend to other risk behaviors, supporting the notion that risky sex associated with abuse represents a means to interpersonal connection rather than a general tendency toward self-defeating behavior.
机译：这项研究调查了滥用和排斥敏感性，这是在使用毒品的情况下危险性行为的重要关联。虐待的受害者可能会变得更加敏锐地对待急性的社会排斥，并因此进行危险的性行为，以试图恢复归属感。数据来自华盛顿特区一家物质使用治疗设施的258名患者。参与者通过自我报告评估了其虐待和危险性行为的病史。为了测试拒绝敏感性的中介作用，参与者完成了社交拒绝任务（Cyber​​ball），并回答了一份问卷，评估了他们对拒绝经历的反应。使用计算机化的实验室评估方法来评估一般的冒险倾向。虐待与排斥反应敏感性增加有关（B = .124，SE = .040，p = .002），这又与危险性行为增加有关（B = .06，SE = .028，p = .03）（间接影响= .0075，SE = .0043； 95％CI [.0006，0.0178]），但对其他冒险指数却没有影响。这些发现表明，排斥敏感性可能是滥用者与滥用毒品者之间危险的性行为之间关系的重要机制。这些影响并没有扩展到其他危险行为，支持了这样一种观念，即与虐待相关的危险性行为是人际关系的一种手段，而不是一种自欺欺人的普遍趋势。

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